Diabetes Archives - Bill Chesnut MD

People who consume full-fat dairy may weigh less

“This finding supports recent thinking that cultured daily products, cottage cheese, yogurt, etc., are better for health using regular milk, no low or no fat milk. They are a stable in my daily food.” Bill Chesnut, MD.

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People who consume full-fat dairy may weigh less, may be less likely to develop diabetes than those who eat low-fat dairy products

The Atlanta Journal-Constitution (4/6, Foreman) reports that “people who consume full-fat dairy weigh less and are less likely to develop diabetes than those who eat low-fat dairy products,” the findings of a 3,333-adult, 15-year study published in the journal Circulation suggest. The study revealed that “people with higher levels of three different byproducts of full-fat dairy had, on average, a 46 percent lower risk of getting diabetes than those with lower levels.”

The CBS News (4/6, Marcus) website points out that another study involving “more than 18,000 middle-age women who were part of the Women’s Health Study – and [of] normal weight, free of cardiovascular disease, cancer, and diabetes at the start of the research – found that those who ate more high-fat dairy had an 8 percent lower chance of going on to become obese over time compared to those who ate less.” No such link was seen “with low-fat dairy product intake,” however.

Transplants of insulin-producing pancreas cells may help the most seriously ill patients with diabetes

“This research has been maturing as our tools improve. The first published report of the procedure in the Islet Cell Transplant database is 1999 according to the National Library of Medicine. I expect there will be more improvements.” Bill Chesnut, MD.

To go back to New Health News: https://billchesnutmd.com/new-health-news

Transplants of insulin-producing pancreas cells may help the most seriously ill patients with diabetes. Ama Wire, April 19, 2016.

The AP (4/19, Neergaard) reports that “transplants of insulin-producing pancreas cells” may help “protect the most seriously ill patients” with diabetes “from a life-threatening complication of the disease,” severe hypoglycemia, the findings of a study published online April 18 in Diabetes Care suggest. For the study, “the National Institutes of Health targeted…highest-risk patients, funding a study that gave 48 people at eight medical centers at least one islet cell transplant.” Just one year after transplant, “88 percent were free of severe hypoglycemia events, had their awareness of blood sugar dips restored, and harbored glucose levels in near-normal ranges,” and “two years later, 71 percent of participants still were faring that well,” the study found. The study team now “plans to seek a Food and Drug Administration license for” cell-based diabetes therapy.

Reversible Stomach Tube May Be an Alternative to Bariatric Surgery

“You have got to read this. Using a stomach feeding tube to treat obesity? How about that.The treatments for medical conditions in severe obesity are not ideal. The surgery is complicated. This website explains the details of the types of gastrointestinal operations developed to try to reverse obesity safely. https://asmbs.org/resources/story-of-obesity-surgery This simple idea of inserting a tube to drain the stomach appears to produce excellent results with minimal complications. The report of a new procedure was April 11, 2016 at a conference of Interventional Radiologists. It is not FDA approved yet. Expect it will be approved and cost effective. This is great news for obese patients with severe degeneration in their backs, hips, knees and feet.” Bill Chesnut, MD

To go back to New Health News: https://billchesnutmd.com/new-health-news

Reversible Gastrostomy Tube May Be an Alternative to Bariatric Surgery: Presented at SIR

Created 04/11/2016 – 16:21

By Lorraine L. Janeczko

VANCOUVER — April 11, 2016 — A tube running from the stomach directly out the body through the abdomen may be an alternative to bariatric surgery for obese patients, according to research presented here at the 41st Annual Scientific Meeting of the Society of Interventional Radiology (SIR).

“This is a safe, easy, relatively low-risk procedure that can be removed when desired and can result in high weight loss,” said Shelby Sullivan, MD, Division of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri. “Right now, very few patients are optimally treated for obesity, and we need to be able to treat more patients with additional tools like this device that have lower risk than bariatric surgery but that achieves higher weight loss than lifestyle therapy alone.”

The AspireAssist Aspiration Therapy System consists of a percutaneous gastrostomy tube with one end placed inside the stomach and the other end connected to a port outside the abdomen, as well as a removable siphon that facilitates aspiration. The device allowed each patient to expel roughly 30% of their most recent meal before it was digested. Although the study was planned to run for 1 year, 12 patients chose to remain implanted for 3 years.

To evaluate the weight-loss efficacy and safety of the endoscopically placed device, lead author Stephen Solomon, MD, Department of Radiology, Cornell University, New York, New York, and colleagues enrolled 25 obese patients with a mean body mass index (BMI) of 39.8 kg/m2 in a pilot study at Blekinge County Hospital, Karlskrona, Sweden, between July and September 2012.

Of these, 22 patients completed 1 year, 15 completed 2 years, and 12 completed 3 years. For the 12 who completed 3 years, the mean weight loss was 26 kg with a mean excess weight loss of 58%. The mean weight loss at the end of years 1, 2, and 3 was 48% (19 kg), 46% (18 kg), and 45% excess weight loss (19 kg), respectively, on an intent-to-treat basis using the last observation carried forward method.

“The misconception is that you can eat anything and then aspirate it,” explained Dr. Sullivan. “In reality, patients must eat less than before. The food particles have to be smaller than 5 mm in size to fit through the tube. To get good aspiration, patients have to chew their food until it disintegrates in their mouth.”

“People not only get tired of chewing and stop eating earlier in the meal than before, they eat more slowly, can sense feeling full and push away from the meal,” he said. “The patients also need to drink a lot of water with their meal to create a slurry that can be aspirated. This reduces the amount of food they can fit into their stomach.”

The device is available on a limited basis in Europe and select additional regions. It is not approved by the US Food and Drug Administration (FDA) yet.

Nut Butter is effective in cutting heart disease risk, reducing belly fat accumulation, and helping to control diabetes.

“The good news of eating nuts is discussed here. I am including this to bring attention to avoiding nut butters that added sugar, palm oil or hydrogenated oils, and skip the reduced fat nut butter. Interesting recipe ideas.” Bill Chesnut. MD.

Get nutty! Protein, fiber, nourishing fats…nut butters have it going on. Cleveland Clinic Wellness newsletter_3.3.16
It’s high time to go nuts…in a good way! There’s a world of nutritious, delicious nut butters out there beyond the children’s classic. No offense, PB&J, but we’re ready to spread our wings and our celery sticks with almond butter, walnut butter, and cashew butter, for starters. “Across the board, tree nuts and nut butters are a superduper source of nutritious fats, fiber, and vitamins and minerals,” says Cleveland Clinic nutritionist Amy Gannon, RD. Cases in point: Walnut butter boasts lots of omega-3 fatty acids, and almond butter is a go-to for vitamin E. These and other little nutritious nuggets can making a big difference for health by (1) cutting heart disease risk, (2) reducing belly fat accumulation, and (3) helping to control diabetes. When shopping, look for products that contain simple ingredients: “just nuts and perhaps salt,” says Gannon. Steer clear of nut butters that contain added sugar, palm oil, or hydrogenated oils, and skip the reduced-fat nut butters, which often replace nutritious fats with sugar and other fillers. If you have a high-power blender or food processor, you can whip up your own nut butter from walnuts, pecans, macadamia nuts, almonds, or hazelnuts — or try a delicious combo. As for how to use nut butter, the sky (er, the tree?) is the limit! Add it to homemade muffins and pancakes, blend it into smoothies, or add a dollop to a baked sweet potato. Try blending some nut butter into Greek yogurt for breakfast or a fruit-and-veggie dipping sauce. Create luxurious sauces, such as a cashew curry or Far-East-inspired almond soy sauce. Because sometimes you feel like a nut…butter!
You may also want to know:

Go nuts! People who eat nuts may live longer

Daily glass of red wine may help improve metabolic health in people with type two diabetes.

“The AMA newsletter reports research in a prestigious medical journal about type two diabetes and red wine.” Bill Chesnut, MD

Daily glass of red wine may help improve metabolic health in people with T2D

ABC World News (10/12, story 10, 0:25, Muir) reported, “Red wine could be healthy for those with type 2 diabetes.” Israeli researchers report that “one glass of red wine in the evening increased good cholesterol in diabetes patients by about 10 percent, this compared to those who drank white wine or water.”

The Los Angeles Times (10/13, Healy) reports in “Science Now” that according to the 224-participant study published online Oct. 12 in the Annals of Internal Medicine, “red wine drinkers also saw improvements in their apolipoprotein a1 levels,” and, “compared with study participants who drank mineral water nightly and those who had a glass of white wine,” people with type 2 diabetes (T2D) “who drank a glass of red wine nightly also had fewer symptoms of metabolic syndrome (hypertension, excess abdominal fat, high blood sugar and abnormal cholesterol levels) at the end of two years.” Notably, all study participants “maintained a Mediterranean-style diet” throughout the study, and the amount of wine consumed, which was “no more than a single five-ounce serving per day,” was enjoyed with a meal.

TIME (10/13, Oaklander) points out that study participants “who drank either red or white wine also reported better sleep quality than the group that drank water, and the researchers found no significant adverse effects with any group.”

AMA News, October, 2015.

Sedentary behavior may dramatically increase risk of developing T2D

“Beware of sitting all day; diabetes may come to stay.” Bill Chesnut, MD

Sedentary behavior may dramatically increase risk of developing T2D, study says.

CNN (2/2, Christensen) reports that “even an extra 40 minutes of couch potato behavior will dramatically increase” the risk of developing type 2 diabetes (T2D).

HealthDay (2/2, Reinberg) reports that “each extra hour in a sedentary position – whether working on the computer or lounging in the recliner – seems to increase” the “odds of type 2 diabetes by 22 percent, the study authors” said in a study published online Feb. 2 in Diabetologia. That risk remained even if people exercised, researchers found after collecting “data on nearly 2,500 adults, average age 60.”

AMA newsletter 2.3.16.

New diabetes cases on the decline

“This report from the AMA News does not include the original publication source. The original is worth reading for the detailed graphic presentations. http://www.cdc.gov/diabetes/statistics/incidence/fig1.htm This decrease of diabetes cases is wonderful news. We should use everything we can learn from this research.” Bill Chesnut, MD

Diabetes declining. “New diabetes cases on the decline, CDC says.”

On its front page, the New York Times (12/1, A1, Tavernise, Subscription Publication) reports in a nearly 1,500-word story that “the number of new cases of diabetes in the United States has finally started to decline,” falling by “about a fifth from 2008 to 2014, according to researchers at the Centers for Disease Control and Prevention.” While “experts say they do not know whether efforts to prevent diabetes have finally started to work, or if the disease has simply peaked,” they do “say the shift tracks with the nascent progress that has been reported recently in” Americans’ health.

That coffee habit? It may protect you from type 2 diabetes.

I enjoy the Cleveland Clinic Newsletter. Today they address the possible benefit to type II diabetes of consuming coffee. February 2, 2016. Bill Chesnut, MD

That coffee habit? It might just be protecting you from type 2 diabetes.

Can’t start your day without a cup or two of joe? Bottoms up! People who drink three to four cups of coffee a day are less likely to have developed type 2 diabetes than those who don’t drink coffee at all, and now researchers have a better understanding about why. Two compounds found in coffee — cafestol and caffeic acid — increase insulin production, which helps keep your blood sugar under control. Controlling blood sugar is crucial for diabetes prevention, since high blood sugar, or hyperglycemia, can lead to the signs and symptoms of the disease. Research also shows that coffee may help prevent diseases like stroke and certain cancers’ reduce the risk of Parkinson’s, dementia, and multiple sclerosis; and even boost concentration and memory. With so many benefits, you want to avoid adding anything unhealthy to your morning cuppa, right? That means skipping the nondairy creamers (corn syrup and trans fat alert!) and flavor shots (can you say sugar, sugar, sugar?), and limiting your use of artificial sweeteners. Instead, try unsweetened almond milk with cinnamon.